Billing & Appeals Specialist (Remote) in Lewiston, Idaho - #72939 | VanderHouwen

Description

Job Id: 72939

Billing & Appeals Specialist (Remote)
Our client is seeking a detail-oriented Billing & Appeals Specialist (Remote) who thrives in a fast-paced, production-focused environment and has experience navigating complex provider billing disputes and appeals. The ideal candidate is analytical, highly organized, and an effective communicator who can collaborate across teams, interpret reimbursement guidelines, and deliver accurate, timely resolutions while maintaining exceptional customer service.

This role is fully remote. Applicants must reside in Oregon, Washington, Idaho, or Utah and work PST hours.

Billing & Appeals Specialist Responsibilities

• Review, investigate, and resolve provider billing disputes and appeals in accordance with contractual, regulatory, and internal guidelines.
• Analyze claims, coding, reimbursement policies, and supporting documentation to determine appropriate non-clinical appeal outcomes.
• Coordinate with clinical reviewers and cross-functional teams to ensure accurate, timely processing of complex appeals and external reviews.
• Maintain detailed documentation, manage appeal caseloads, and meet established productivity, quality, and turnaround standards.
• Communicate appeal decisions and provide guidance to providers, members, and other stakeholders while promoting a positive customer experience.

Billing & Appeals Specialist Qualifications

• 4+ years of experience in health insurance claims, appeals, billing disputes, or related healthcare operations.
• Demonstrated experience supporting high-volume provider appeals, including Independent Dispute Resolution (IDR) processes preferred.
• Working knowledge of medical terminology, CPT, ICD/DX, and HCPCS coding, along with health plan claims processing principles.
• Strong analytical, organizational, and problem-solving skills with the ability to manage multiple priorities and meet strict deadlines.
• Proficiency with Microsoft Office applications and the ability to communicate complex claims and reimbursement information clearly and professionally.

Compensation: $21-$28/hr. (DOE)

VanderHouwen Contractors Enjoy Exceptional Benefit Perks!
As an eligible contract employee with VanderHouwen, you’ll have access to a full suite of benefits designed with your well-being in mind. Our comprehensive package includes medical, dental, vision, life insurance, short- and long-term disability, and a matching 401(k) to help secure your future.

Meet VanderHouwen
What kind of recruiter do you see yourself working with? One who prioritizes your best interest, no matter what? VanderHouwen does, and we’re in it for the long game! Our recruiters focus on YOU, building meaningful, long-term relationships while developing a deep understanding of companies’ staffing needs and workplace cultures. This approach helps us find an ideal job match that aligns with your unique career aspirations and goals.

VanderHouwen is an award-winning, Women & Diversity-Owned, WBENC certified professional staffing firm. Founded in 1987, VanderHouwen places experienced professionals across the nation! Our recruitment teams specialize in either Technology and IT, Engineering, Human Resources, or Accounting and Finance career markets. Partner with us to land your next exciting career!

VanderHouwen is an Equal Opportunity Employer and participates in E-Verify. VanderHouwen does not discriminate based on race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable local, state, or federal civil rights laws.

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